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General NPI Number Information
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NPI Number | 1407274137
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Entity Type | Organization
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Legal Business Name | FRANKLIN FAMILY EYE CARE
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Dates
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Enumeration Date | 03/31/2014
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Last Update Date | 05/23/2014
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Provider Practice Location Address
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Address Line | 3458 N MOUNT JULIET RD
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City | MOUNT JULIET
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State | TN
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Zip | 37122-3011
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Country | US
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Telephone | 615-754-4733
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Fax | 615-758-7515
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Provider Business Mailing Address
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Address Line | 3458 N MOUNT JULIET RD
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City | MOUNT JULIET
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State | TN
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Zip | 37122-3011
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Country | US
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Telephone | 615-754-4733
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Fax | 615-758-7515
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Authorized Official
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Title or Position | OWNER
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Name | DR. JONATHAN G FRANKLIN
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Credential | O.D.
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Telephone | 615-754-4733
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OD001492
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License Number State | TN
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